MR. RAFAEL ALEXANDER IBARRA (NPI# 1134426059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134426059 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL ALEXANDER IBARRA |
| Credential | APC |
| Practice Address |
750 N Freedom Blvd Ste 300 Provo UT 84601-1690 |
| Practice Telephone | 8013734760 |
| Mailing Telephone | 8013734760 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7894027-6009 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1356357115 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5250 Commerce Dr, Suite 250, Murray, UT 841077926 | 8012613500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740441104 | Rafael Andres Ibarra | Family Medicine | 1250 S Capital of Texas Hwy, Bldg. One, Suite 500, West Lake Hills, TX 78746-6446 | 2008-06-18 |
| Street Address |
750 N FREEDOM BLVD STE 300 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689187841 | Leslie K Olson | Case Manager/Care Coordinator | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2017-11-09 |
| 1720532575 | Nathan Wilkinson | Community Health Worker | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2016-08-10 |
| 1679950166 | Derek Larsen | Marriage & Family Therapist | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2015-05-04 |
| 1215276134 | Rebecca Tolman | Social Worker | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2013-02-13 |
| 1912274473 | Tauheedah Sabreen Wallace | Marriage & Family Therapist | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871899609 | Sydney L Isle | Counselor | 379 N University Ave, Suite 101, Provo, UT 84601-2854 | 2011-01-26 |
| 1184871279 | Linda Jones | Counselor | 3210 N Canyon Rd Ste 206, Provo, UT 84604-6508 | 2008-08-20 |
| 1952595845 | Robyn Deegan Alexander | Counselor | 1990 Nevada Cir, Apartment 4, Provo, UT 84606-6587 | 2007-09-04 |
| 1457498271 | Shawn C Edgington | Counselor | 3651 N 100 E Ste 100, Provo, UT 84604-4598 | 2007-01-31 |
| 1215401310 | Ann Leilani Ngatai | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2019-01-11 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1801154224 | Jeane M Adams | Counselor | 750 N 200 W Ste 300, Provo, UT 84601-1690 | 2012-04-24 |
| 1568750578 | Richard Carlisle Tripp | Counselor | 1355 N University Ave Ste 200, Provo, UT 84604-2721 | 2011-07-12 |
| 1497054506 | Utah Psychological Associates, LLC | Counselor | 3325 N University Ave, Suite 300, Provo, UT 84604-4465 | 2011-03-16 |
| 1386947513 | Karen Ileen Carter | Counselor | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2010-12-09 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on MR. RAFAEL ALEXANDER IBARRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.